The Effect of Acupressure in Patients With Knee Osteoarthritis

Sponsor

TC Erciyes University (Other)

Overall Status

Completed

CT.gov ID

NCT05238350

Collaborator

Pınar TEKİNSOY KARTIN (Other), Rabiye ÇIRPAN (Other)

Enrollment

Location

Arms

8.2

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Abstract Pain is the most common symptom of osteoarthritis and affects people's functional status with quality of life. This study was conducted to determine the effect of acupressure on pain, functional status, and quality of life in patients living with knee osteoarthritis. Acupressure application and follow-ups were performed by the researcher in the patient's home environment. The study was performed with 90 patients, 45 in the intervention group and 45 in the control group. Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher. It was determined that while the Visual Analog Scale (VAS), the Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores of the intervention group were higher than those of the control group before application, they had decreased after application. It was found that all subscale mean scores of the Short-Form Health Survey (SF-36) quality of life questionnaire increased after application in the intervention group. It was concluded that acupressure has decreased pain severity and increased the functional status and quality of life of patients with knee osteoarthritis.

Keywords: Osteoarthritis, pain, nursing, acupressure.

Condition or Disease	Intervention/Treatment	Phase
Knee Osteoarthritis	Procedure: Acupressure	N/A

Detailed Description

Abstract Background: Pain is the most common symptom of osteoarthritis and affects people's functional status with quality of life.

Objective: This study was conducted to determine the effect of acupressure on pain, functional status, and quality of life in patients living with knee osteoarthritis.

Methods/Design: The study was conducted as an experimental study with a pre-posttest and a control group.

Settings: The study was conducted on patients diagnosed with knee osteoarthritis and attended the Physical Therapy and Rehabilitation Polyclinics of Nevşehir government hospital in the Central Anatolia Region of Turkey. Acupressure application and follow-ups were performed by the researcher in the patient's home environment.

Participants: The study was performed with 90 patients, 45 in the intervention group and 45 in the control group.

Intervention: Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher.

Measurement of efficacy: Data was collected before and after acupressure application by using a Visual Analogue Scale (VAS), the 36-Item Short-Form Health Survey (SF-36), and the Western Ontario and McMaster University Osteoarthritis Index (WOMAC).

Study Design

Study Type:

Interventional

Actual Enrollment :

90 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

The study was conducted as an experimental study with a pre-posttest and a control group.The study was conducted as an experimental study with a pre-posttest and a control group.

Masking:

Single (Participant)

Primary Purpose:

Supportive Care

Official Title:

The Effect of Acupressure on Pain, Functional Status and Quality of Life in Patients With Knee Osteoarthritis

Actual Study Start Date :

Mar 7, 2015

Actual Primary Completion Date :

Jun 11, 2015

Actual Study Completion Date :

Nov 11, 2015

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Acupressure (intervention group) The intervention group was performed with 45 patients. Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher.	Procedure: Acupressure Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher. Other Names: Control
No Intervention: Control group Thecontrol group was performed with 45 patients. Any application was not performed for the control group.

Arm

Intervention/Treatment

Experimental: Acupressure (intervention group)

The intervention group was performed with 45 patients. Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher.

Procedure: Acupressure

Acupressure was performed two days a week for four weeks with a total of eight sessions on the ST34, ST35, ST36, SP9, SP10, GB34 acupuncture points following an acupressure practice guide prepared by the researcher.

Other Names:

Control

No Intervention: Control group

Thecontrol group was performed with 45 patients. Any application was not performed for the control group.

Outcome Measures

Primary Outcome Measures

Pain level in visual analogue scale (VAS) [baseline, change from baseline at 4th week;]
Pain severity scores were determined by measuring values that were chosen on VAS by patients. The numerical scale ranges from 0 "No pain", to 10 "Worst pain imaginable", and a numerical value is given to every 1 cm range to measure pain severity.

Secondary Outcome Measures

The Western Ontario and McMaster University Osteoarthritis Index (WOMAC) Osteoarthritis Index [baseline, change from baseline at 4th week;]
Their functional status levels were evaluated by using WOMAC Osteoarthritis Index.Every question is scored between 0 and 4 points evaluated with a five-way Likert-type scale. High scores from the index show increased pain and stiffness and dysfunction in physical function.
36-Item Short-Form Health Survey (SF-36) [baseline, change from baseline at 4th week;]
Their changes in quality of life levels were evaluated by using SF-36 scale.The scale gives separate scores for every sub-scale, which varies between 0 and 100 points. High scores on the subscales show good health status, while low scores show a deterioration in health

Eligibility Criteria

Criteria

Ages Eligible for Study:

38 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

38 years old and over
Diagnosed by a doctor with knee OA according to American College of Rheumatology (ACR) criteria
had three points and over on the VAS pain scale,
had no communication problems
did not have any significant knee trauma within the last six months or an intra-articular steroid injection
did not have any infection in the lower extremities or wounds, surgery or physiotherapy within the last six months
those who accepted to participate to the study.